Conformal proper times according to the Woodhouse causal axiomatics of relativistic spacetimes

On the basis of the Woodhouse causal axiomatics, we show that conformal proper times and an extra variable in addition to those of space and time, precisely and physically identified from experimental examples, together give a physical justification for the `chronometric hypothesis' of general relativity. Indeed, we show that, with a lack of these latter two ingredients, no clock paradox solution exists in which the clock and message functions are solely at the origin of the asymmetry. These proper times originate from a given conformal structure of the spacetime when ascribing different compatible projective structures to each Woodhouse particle, and then, each defines a specific Weylian sheaf structure. In addition, the proper time parameterizations, as two point functions, cannot be defined irrespective of the processes in the relative changes of physical characteristics. These processes are included via path-dependent conformal scale factors, which act like sockets for any kind of physical interaction and also represent the values of the variable associated with the extra dimension. As such, the differential aging differs far beyond the first and second clock effects in Weyl geometries, with the latter finally appearing to not be suitable.Comment: 25 pages, 2 figure

Frequency and damping of hydrodynamic modes in a trapped Bose-condensed gas

Recently it was shown that the Landau-Khalatnikov two-fluid hydrodynamics describes the collision-dominated region of a trapped Bose condensate interacting with a thermal cloud. We use these equations to discuss the low frequency hydrodynamic collective modes in a trapped Bose gas at finite temperatures. We derive a variational expressions based on these equations for both the frequency and damping of collective modes. A new feature is our use of frequency-dependent transport coefficients, which produce a natural cutoff by eliminating the collisionless low-density tail of the thermal cloud. Above the superfluid transition, our expression for the damping in trapped inhomogeneous gases is analogous to the result first obtained by Landau and Lifshitz for uniform classical fluids. We also use the moment method to discuss the crossover from the collisionless to the hydrodynamic region. Recent data for the monopole-quadrupole mode in the hydrodynamic region of a trapped gas of metastable $^4$He is discussed. We also present calculations for the damping of the analogous $m=0$ monopole-quadrupole condensate mode in the superfluid phase.Comment: 22 pages, 10 figures, submitted to Physical Review

Investigating the functional interaction between semantic and episodic memory: Convergent behavioral and electrophysiological evidence for the role of familiarity

Throughout our lives we acquire general knowledge about the world (semantic memory) while also retaining memories of specific events (episodic memory). Although these two forms of memory have been dissociated on the basis of neuropsychological data, it is clear that they typically function together during normal cognition. The goal of the present study was to investigate this interaction. One influence of semantic memory on episodic retrieval is ‘Levels Of Processing’; recognition is enhanced when stimuli are processed in a semantically meaningful way. Studies examining this semantic processing advantage have largely concluded that semantic memory augments episodic retrieval primarily by enhancing recollection. The present study provides strong evidence for an alternative relationship between semantic and episodic memory. We employed a manipulation of the semantic coherence of to-be-remembered information (semantically related vs. unrelated word pairs) during an associative recognition memory test. Results revealed that associative recognition is significantly enhanced for semantically coherent material, and behavioral estimates (using the process dissociation procedure) demonstrated concomitant changes in the contribution of familiarity to retrieval. Neuroimaging data (event-related potentials recorded at test) also revealed a significant increase in familiarity based retrieval. The electrophysiological correlate of familiarity (the mid-frontal ERP old/new effect) was larger for semantically related compared to unrelated word pairs, but no difference was present in the electrophysiological correlate of recollection (the left parietal old/new effect). We conclude that semantic memory and episodic memory do indeed interact in normal functioning, and not only by modulating recollection, but also by enhancing familiarity

Recommendations for Epstein-Barr virus–based screening for nasopharyngeal cancer in high- and intermediate-risk regions

A meeting of experts was held in November 2021 to review and discuss available data on performance of Epstein-Barr virus (EBV)–based approaches to screen for early stage nasopharyngeal carcinoma (NPC) and methods for the investigation and management of screen-positive individuals. Serum EBV antibody and plasma EBV DNA testing methods were considered. Both approaches were found to have favorable performance characteristics and to be cost-effective in high-risk populations. In addition to endoscopy, use of magnetic resonance imaging (MRI) to investigate screen-positive individuals was found to increase the sensitivity of NPC detection with minimal impact on cost-effectiveness of the screening program

Integrated assessment of social and environmental sustainability dynamics in the Ganges-Brahmaputra-Meghna delta, Bangladesh

Deltas provide diverse ecosystem services and benefits for their populations. At the same time, deltas are also recognised as one of the most vulnerable coastal environments, with a range of drivers operating at multiple scales, from global climate change and sea-level rise to deltaic-scale subsidence and land cover change. These drivers threaten these ecosystem services, which often provide livelihoods for the poorest communities in these regions. The imperative to maintain ecosystem services presents a development challenge: how to develop deltaic areas in ways that are sustainable and benefit all residents including the most vulnerable. Here we present an integrated framework to analyse changing ecosystem services in deltas and the implications for human well-being, focussing in particular on the provisioning ecosystem services of agriculture, inland and offshore capture fisheries, aquaculture and mangroves that directly support livelihoods. The framework is applied to the world’s most populated delta, the Ganges-Brahmaputra-Meghna Delta within Bangladesh. The framework adopts a systemic perspective to represent the principal biophysical and socio-ecological components and their interaction. A range of methods are integrated within a quantitative framework, including biophysical and socio-economic modelling and analyses of governance through scenario development. The approach is iterative, with learning both within the project team and with national policy-making stakeholders. The analysis is used to explore physical and social outcomes for the delta under different scenarios and policy choices. We consider how the approach is transferable to other deltas and potentially other coastal areas

The genetic architecture of type 2 diabetes

The genetic architecture of common traits, including the number, frequency, and effect sizes of inherited variants that contribute to individual risk, has been long debated. Genome-wide association studies have identified scores of common variants associated with type 2 diabetes, but in aggregate, these explain only a fraction of heritability. To test the hypothesis that lower-frequency variants explain much of the remainder, the GoT2D and T2D-GENES consortia performed whole genome sequencing in 2,657 Europeans with and without diabetes, and exome sequencing in a total of 12,940 subjects from five ancestral groups. To increase statistical power, we expanded sample size via genotyping and imputation in a further 111,548 subjects. Variants associated with type 2 diabetes after sequencing were overwhelmingly common and most fell within regions previously identified by genome-wide association studies. Comprehensive enumeration of sequence variation is necessary to identify functional alleles that provide important clues to disease pathophysiology, but large-scale sequencing does not support a major role for lower-frequency variants in predisposition to type 2 diabetes

Cognitive and psychiatric symptom trajectories 2–3 years after hospital admission for COVID-19: a longitudinal, prospective cohort study in the UK

Background COVID-19 is known to be associated with increased risks of cognitive and psychiatric outcomes after the acute phase of disease. We aimed to assess whether these symptoms can emerge or persist more than 1 year after hospitalisation for COVID-19, to identify which early aspects of COVID-19 illness predict longer-term symptoms, and to establish how these symptoms relate to occupational functioning. Methods The Post-hospitalisation COVID-19 study (PHOSP-COVID) is a prospective, longitudinal cohort study of adults (aged ≥18 years) who were hospitalised with a clinical diagnosis of COVID-19 at participating National Health Service hospitals across the UK. In the C-Fog study, a subset of PHOSP-COVID participants who consented to be recontacted for other research were invited to complete a computerised cognitive assessment and clinical scales between 2 years and 3 years after hospital admission. Participants completed eight cognitive tasks, covering eight cognitive domains, from the Cognitron battery, in addition to the 9-item Patient Health Questionnaire for depression, the Generalised Anxiety Disorder 7-item scale, the Functional Assessment of Chronic Illness Therapy Fatigue Scale, and the 20-item Cognitive Change Index (CCI-20) questionnaire to assess subjective cognitive decline. We evaluated how the absolute risks of symptoms evolved between follow-ups at 6 months, 12 months, and 2–3 years, and whether symptoms at 2–3 years were predicted by earlier aspects of COVID-19 illness. Participants completed an occupation change questionnaire to establish whether their occupation or working status had changed and, if so, why. We assessed which symptoms at 2–3 years were associated with occupation change. People with lived experience were involved in the study. Findings 2469 PHOSP-COVID participants were invited to participate in the C-Fog study, and 475 participants (191 [40·2%] females and 284 [59·8%] males; mean age 58·26 [SD 11·13] years) who were discharged from one of 83 hospitals provided data at the 2–3-year follow-up. Participants had worse cognitive scores than would be expected on the basis of their sociodemographic characteristics across all cognitive domains tested (average score 0·71 SD below the mean [IQR 0·16–1·04]; p<0·0001). Most participants reported at least mild depression (263 [74·5%] of 353), anxiety (189 [53·5%] of 353), fatigue (220 [62·3%] of 353), or subjective cognitive decline (184 [52·1%] of 353), and more than a fifth reported severe depression (79 [22·4%] of 353), fatigue (87 [24·6%] of 353), or subjective cognitive decline (88 [24·9%] of 353). Depression, anxiety, and fatigue were worse at 2–3 years than at 6 months or 12 months, with evidence of both worsening of existing symptoms and emergence of new symptoms. Symptoms at 2–3 years were not predicted by the severity of acute COVID-19 illness, but were strongly predicted by the degree of recovery at 6 months (explaining 35·0–48·8% of the variance in anxiety, depression, fatigue, and subjective cognitive decline); by a biocognitive profile linking acutely raised D-dimer relative to C-reactive protein with subjective cognitive deficits at 6 months (explaining 7·0–17·2% of the variance in anxiety, depression, fatigue, and subjective cognitive decline); and by anxiety, depression, fatigue, and subjective cognitive deficit at 6 months. Objective cognitive deficits at 2–3 years were not predicted by any of the factors tested, except for cognitive deficits at 6 months, explaining 10·6% of their variance. 95 of 353 participants (26·9% [95% CI 22·6–31·8]) reported occupational change, with poor health being the most common reason for this change. Occupation change was strongly and specifically associated with objective cognitive deficits (odds ratio [OR] 1·51 [95% CI 1·04–2·22] for every SD decrease in overall cognitive score) and subjective cognitive decline (OR 1·54 [1·21–1·98] for every point increase in CCI-20). Interpretation Psychiatric and cognitive symptoms appear to increase over the first 2–3 years post-hospitalisation due to both worsening of symptoms already present at 6 months and emergence of new symptoms. New symptoms occur mostly in people with other symptoms already present at 6 months. Early identification and management of symptoms might therefore be an effective strategy to prevent later onset of a complex syndrome. Occupation change is common and associated mainly with objective and subjective cognitive deficits. Interventions to promote cognitive recovery or to prevent cognitive decline are therefore needed to limit the functional and economic impacts of COVID-19. Funding National Institute for Health and Care Research Oxford Health Biomedical Research Centre, Wolfson Foundation, MQ Mental Health Research, MRC-UK Research and Innovation, and National Institute for Health and Care Research

Post-acute COVID-19 neuropsychiatric symptoms are not associated with ongoing nervous system injury

A proportion of patients infected with severe acute respiratory syndrome coronavirus 2 experience a range of neuropsychiatric symptoms months after infection, including cognitive deficits, depression and anxiety. The mechanisms underpinning such symptoms remain elusive. Recent research has demonstrated that nervous system injury can occur during COVID-19. Whether ongoing neural injury in the months after COVID-19 accounts for the ongoing or emergent neuropsychiatric symptoms is unclear. Within a large prospective cohort study of adult survivors who were hospitalized for severe acute respiratory syndrome coronavirus 2 infection, we analysed plasma markers of nervous system injury and astrocytic activation, measured 6 months post-infection: neurofilament light, glial fibrillary acidic protein and total tau protein. We assessed whether these markers were associated with the severity of the acute COVID-19 illness and with post-acute neuropsychiatric symptoms (as measured by the Patient Health Questionnaire for depression, the General Anxiety Disorder assessment for anxiety, the Montreal Cognitive Assessment for objective cognitive deficit and the cognitive items of the Patient Symptom Questionnaire for subjective cognitive deficit) at 6 months and 1 year post-hospital discharge from COVID-19. No robust associations were found between markers of nervous system injury and severity of acute COVID-19 (except for an association of small effect size between duration of admission and neurofilament light) nor with post-acute neuropsychiatric symptoms. These results suggest that ongoing neuropsychiatric symptoms are not due to ongoing neural injury